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oo-aUi�y CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> r. z1 SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209) 468-3124 <br /> 9�1FdRNYP BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) <br /> Permit No.: G APN: yLt�& "Z- Contractor: <br /> Job-Site Address: "I T[�LAF-)-AC-- -AV' Use of Structure: <br /> Planning Application No: F'� - GS'G(i� I14 <br /> OWNER NAME AND ADDRESS <br /> Name: STS' Vjff-- 4 S <br /> Address: G C , ti IC- <br /> City: L til State: GA Zip: Cf 9 Telephone:( } <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: I Occupancy Load: <br /> Type of Construction: � Square Feet: SG' <br /> Zoning : t,C,- 4 C, Fire Sprinklers: Yesl <br /> Before a final inspection can be made by the Building Inspection Division, and prior to issuance of a Certificate of <br /> Occupancy by the Building Official, APPROVAL SIGNATURES must be obtained from the agencies indicated below. Itis <br /> the applicant's responsibility to obtain 0 signatures and return this form to the Community Development Department. <br /> Please be aware that advanced notice and a field inspection time may be required by each agency prior to signature. <br /> NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING SIGNATURES ON THE CERTIFICATE OF <br /> OCCUPANCY ROUTING FORM. <br /> APPROVAL REQUIR DATE: <br /> PA ENT O PUBLIC WO <br /> ENVIRONMENTAL HEALTH <br /> COUNTY FIRE WARDEN <br /> El <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> El <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> El <br /> OTHER <br /> 171 <br /> OTHER <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize <br /> the Community Development Department to complete a final inspection. <br /> Once the required signatures above are obtained, return this form to the Community Development Department. A final <br /> building inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been <br /> completed and returned. <br /> FABUILD[NGIHANDOUTS%HANDCUT 072 C of O.doc(Revised 2125/04) Page 1 of 2 <br />